Care Management Nurse - Saginaw - Great Lakes Bay

    Great Lakes Bay
    Great Lakes Bay Saginaw

    1 week ago

    Description

    Job Description:

    The primary accountability of the Care Management Nurse role will be to facilitate and guide patients through ongoing clinical and self-management support resulting in improved access, improves clinical outcomes or decreased cost of care as a key aspect of Patient Centered Care through outreach enrollment engagement education individualized care planning and self management support strategies.

    1. Identifying Population of Focus through risk stratification or provider referral Risk scores include at least diseases diagnosis social determinants health ER hospital admissions behavioral health conditions indicators
    2. Understanding contributing factors to risk score developing relevant appropriate care plan
    3. Patient Outreach Enrollment in Care Management Program

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